ArticleBMC health services research2022
Initiating a district-based public-private mix to overcome tuberculosis missing cases in Indonesia: readiness to engage.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Digital maturity index instrument development for primary health care in Indonesia: a sequential exploratory mixed-methods approach.BMC health services research · 2026Article
- Tuberculosis Diagnostic Delays in Indonesian Primary Care Pathways.Annals of global health · 2026Observational
- Readiness of health posts for primary health care integration in Indonesia: a mixed-methods study.BMC public health · 2025Article
- Policy gaps in addressing market failures and intervention misalignments in tuberculosis control: prospects for improvement in China, India, and Indonesia.The Lancet regional health. Western Pacific · 2024Review
- COVID-19 impact on health service- and TB-related practices among private providers in Indonesia.Public health action · 2023Article
- Exploring the tuberculosis medication program in Indonesia as perceived by patients and their families: A qualitative study.Belitung nursing journal · 2023Article
- Lost to Follow-Up among Tuberculosis Patients during the Public-Private Mix Era in Rural Area of Indonesia.Ethiopian journal of health sciences · 2023Article
- Digital Health to Strengthen District-Based Public-Private Mix Tuberculosis Control in Purwakarta District, Indonesia: A Qualitative Research.International journal of environmental research and public health · 2022Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDistrict-based public-private mix (DPPM) is a variant of a relatively new PPM strategy of addressing missing cases in the tuberculosis (TB) care cascade in Indonesia. We aimed to determine the readiness of various stakeholders to engage in implementing the DPPM strategy.
methodsThe research design was sequential exploratory mixed methods. A qualitative study in the first stage was carried out through in-depth interviews, FGD and study documents. Data were analyzed through coding, categorizing, pattern matching and theorizing. The second stage was a survey conducted using instruments built in the first stage. Data were analyzed using Rasch modeling and logistic regression.
resultsDistrict TB case detection rate (CDR) has improved from 35% (2018) to 104% (2019). The contribution of private hospitals has increased considerably. However, there were almost none from the private primary healthcare facilities. The substantive theory generated indicates that awareness and concern of the TB problem, TB program comprehension and involvement, and institutional support are behind the readiness of facilities to engage the TB program (the readiness to engage). The measurement results indicate the significant correlation of all dimensions on readiness to engage. Concern of the TB problem and institutional support are variables that influence readiness to engage (p < 0.05).
conclusionsEngaging private and public facility stakeholders is a challenge for local government. Intervention is through a personalized approach, encourages institutional support of health facilities for the TB program and system approach.
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